Extra precaution and awareness should be used when carrying out hip fracture surgery in patients with alcohol abuse disorder, Parkinson’s Disease, rheumatoid disorders or pre-existing osteoarthritis, as these patients may be more prone to surgical complications, suggests a new study published in Injury.
Researchers examined data on 68,800 hip fracture patients treated between 1999 and 2011 from the Finnish Performance, Effectiveness and Cost of Treatment (PERFECT) database to investigate the association of readmissions with co-morbidities, fracture types, hospital type and treatment methods.
They found early readmission within three months due to hip fracture surgery complications occurred at a rate of 4.6 per cent. Increased rates of readmission were observed among patients with heavy alcoholism (HR 1.38; 95% CI 1.23-1.53); Parkinson’s disease (HR 1.22; 95% CI 1.05-1.42); pre-existing osteoarthritis (HR 2.02; 95% CI 1.83-2.23); rheumatic disease (HR 1.44; 95% CI 1.27-1.65). Increased readmission rates were also observed in those with depression, a psychotic disorder, a fracture of the femur neck, an operative delay of at least three days, or previous total hip arthroplasty.
The authors suggest that when these factors are present the surgical treatment method and postoperative protocol should be carefully planned and performed.